Tuesday, September 18, 2012

Post Op Day 29...Doctor Visit...


Post op day 29
How do I feel?
Feel great today.  Excited to go to doctor appointment  with Dr Shandi. He is suppose to release me to full activities today.Tomorrow will be 30 days since my surgery.
Most people that see me say I look great. I found out that most people are expecting to see scars or bruising.
7am
Up.Tired... where is my coffee. Bernie tries to make it this am but with the keurig  machine. He can not get it going. So, I help him out.  I guess since I stopped taking the steroids I am not longer up at 4am.  The seizure meds keppra  500mg I take at night give me a morning feeling of drowsiness which from what I have read effects most people. Thank God I have little side effects from Keppra. But always seems to be a bit of sleepiness present throughout the day.
At least the skin rash itching has gone away caused by Keppra  anti-epileptic medication.   Headaches have gone away. The headaches come back when I wear my wig too long.  I tolerate the medicine Keppra quite well.  Just minor things. Neck pain, drowsiness.
8am
Bernie went to gym and I got on treadmill in my bedroom and walked for 1 hour.6800 steps.
3:45pm Doctor's appointment.
He looked at scar and said Jocelyn was doing extremely well. She asked questions to Dr.:
Can you reduce medication due to a.m. grogginess? He reduced to 200mg of Keppra due to Jocelyn never having seizures in her past.



Why do people keep telling her how well she looks? What do they expect? He said,"They expect
bruising, facial scars and a bald head." So...final prognosis is the tumor was totally removed. In
4 months, return for MRI and follow-up psychological testing.
Final moments with Doctor. Everyone hugged and Jocelyn thanked him, Bernie thanked him, etc.
Doctor was worried that Jocelyn would lose her sense of smell during surgery since tumor was at frontal lobe. However, Jocelyn can smell Bernie's cologne in the morning. It's labeled "wild country." So, success!

Thursday, September 13, 2012

Saturday_Sept._1_2012_Post op day 11

Post op day 11

How do you feel???
 Able to stand without holding on.  Staples in head pulling on bandages. Okay. Level 2 dull ache.   
Txting is easy.   Writing is shaky.  Slow moving hand as I write on paper.   

Up at 4 good  sleep escapes me.  Got up and worked in office taking  care of some personal things I had put off.  Ended up looking for something never found it but 
Got inbox straightened out so I could work on most important paper work items.  Glad I felt like working.
6 am paper is late.  7 am bernie up got my coffee and he left for gym at 7:30am.  
8 am took.  Drugs below every 12 hours
Drugs i am on below.   A friend paraphrased drugs below.  Thanks Kathleen .
Dex is a potent anti-inflamatory. Lev is an anti-convulsant. Panto is for gastro/heartburn. All are very potent.  
9 bernie  brought  breakfast in bed .  Oatmeal blueberries ..almond butter.  Green tea.  Bernie has been unbelievable loving and patience. 
10.   Took a bath by myself today .   Yeh.
11 watching golf Deutsch bank PGA golf tournament. 
12:30
Bernie took me out of the house for 1 st time in 11 days . Little shaky but out 3 hrs did well.
3:30 watched golf match
6 pm dinner last overs . 
7 pmFSU football game .   Watching on iPad on espn3 app.  FSU vs Murray St.  Murray st 3 FSU 35 3rd quarter 1st and 10.   Head hurts.  From 1 to 10 they would ask me at hospital.  3 maybe.  Tylenol is all I take.   I was told by my friend Janet that what is hurting is the bandage on my head pulling the staples holding it together.  Ha ...
8pm meds
9pm
Reading Richmond paper from cover to cover. Good for new brain.  Hey how many people can say they have a new  brain.  
11 pm .  Reading new book on iPad . 
12 midnight.   Pray    
Sleep

Friday, August 31_2012_Post op 10


Post op 10Friday August 31, 2012How do you feel today!
Good with a sunny disposition.   Borrowed from a commercial but good explanation don't you think? 

Feeling  drugs side effects. Which are...
Difficulty sleeping; feeling a whirling motion; sweating;  nervousness, rash; hives; Caffeine high why am I drinking coffee.  I like coffee with my chocolate soy milk.


 When people talk to me on the phone they say it is good to hear my strong  voice.  That strong voice is a sign for me that I feel better .

Friend over helping me update blog.  I enjoy that.  Watching golf tournament .  Bernie just walked over to Kroger for lunch.   Sharon our trusty maid came today she had to do laundry.  But glad it is all done.  Jane Asch, Bernie's daughter  called today. Her dog Sammy of 14 yrs died this pass weekend.  So long Sammy.  
Cathy stark a friend that bernie and i met at the y more than 15 yrs ago moved to Michigan where she grew up and came back to visit and brought dinner .  Set up for 2 hours and felt okay... Was ready to lay down.  My head feels better when I sit up then lie down..Jamie the nurse practitioner  told me that your head pulses and when you lie down it pulses more...So i sit up at a 30 degree angle in bed propped  and try to sleep... 

Thursday, August 30_Post op Day 9

Up at 5 made my own coffee.  Slept ok.  Took Tylenol
Around 3.    
Turned on tv to watch hurricane at 5 . 
 Took dexametbasone   and pantoprazole generic for protonix.  
 Only every 12 hours now instead of every 8. 
 Ok what are these drugs and how are they making me feel.   Let me count the ways.   I will now look up the drugs and see...
Dex-a--METH-a-sone 
    A potent synthetic steroid drug.   The directions on taking the drug were not easily understood.  But bernie and I figured it out and I set a reminder on my iPhone in my calendar when to take .  You want to know how powerful this steroid drug is.   Being at home i take it orally, it is 26.6 times more potent than   Naturally occurring hormone cortisol and 6.6 times more potent than prednisone . 
 Symptons:   Of drug. 
    Difficulty sleeping...feeling of a whirling motion; increased sweating ,  rash and itch on my lower back.  
Pantoprazole 
Pan TOE pra zole 
 Generic name:  Protonix
what is pantoprazole ?
  Proton pump inhibitors. It decreases the amount of acid produced in the stomach.  

Question.   Why do I need this drug when I take Dex-a--METH-a-sone?


When I was taking this drug in the hospital I would have abnormal dreams.  I even remember telling my night nurse one night.   It was a wonderful  colorful real dream .   A large home that had history to it.  A place in my dream where I lived and in the dream had come back to the property after I had inherited the home.  If was once a place for large swim meets and swim conferences .  The dream was so vivid and real .  The first part of the dream I remember was I was in the living quarters of this home .  This home was like our friends home in the hamptons of new York .  Modern stone beautiful landscaped .  In the dream the dream the home was in disrepair .  My parents had just died and I was there to get the affairs in order and  visit the staff that still lived on the property down by the old outdoor stone rock pool.   The property also reminded me of the property I went to for a wedding in new York in June of this year.   Lilys flowing water over rock quarrys. The staff and there families were still living down near the river off the outdoor pool.   The  Vision I remember was of a happy yet poor family Irish decent.   I remember one man the property manager from my childhood.  You see I could. Not remember if Ivied there a year long or just In the summer As if a summer camp I was so fond of in the addrockitis of new York that I went to as a child.  In my dream I was getting ready for bed and remember seeing the lights of a car drive up to the front door.  The home being off a main road and with it in such disarray that young people  I was told would drive there often and park.  I remember being afraid so I went looked out of the 10 ft high glass plated wall with a view that expanded 4000 square feet long.   The curtains that covered it were old damp and musty.  Something I thought later I would have to change.  

Brst just finished.  Bernie went to gym came back and made oatmeal for me w blueberries and left over banana from hospital .   Green tea.   Biggest challenge of am so far putting on left contact so I can see far and read tv captions clearly.   The decline of My left eye had been one of the symptoms of the brain tumor.    

Just walked 91 steps.  
Since Bernie and I will still be in Florida on  the day of the general election I just printed off And we filled out our absentee ballot info.  
Just spoke with Anita up on the 12 floor coming to see 
Me today.   Bernie and I last year with with Anita and Louis her husband to Barcelona Spain for 2 wks.   
People say sound good but still fill drugged from meds.   Head dull pain where staples are.   

Tuesday, September 4, 2012

Monday, Sept. 3, 2012, Post-op, Day 13



Monday, How do you feel?

4:30 am
Let me count the ways. Same as yesterday . Physically still dull ache but only from 1-10, a 2. Maybe I did sleep better even though it was a full moon last night.
5 am
Worked in office.
Walked 90 steps to end of hall and mailed a letter.
Did not have to hold on to walls.
Starting reading get well cards and starting balling crying. First time. Tears of joy.
7am
Raining outside today. Glad I can see out our large picture window in bedroom. I am looking out at the corner of Willow Lawn and Monument Avenue. There isn't a lot of traffic since Sunday and holiday weekend.
Bernie helped me change water in plant vases.
Bernie went to gym. I do miss gym BUT I will be back at it soon. In bed again with Sunday paper.
8am
Medicines taken, plus Tylenol.
8:30am
Bernie home from gym. He is now resting in his chair. It is nice enjoying this quiet time with Bernie. I don't get a lot of quiet time with Bernie, if you know him you are probably laughing now .
8:45am
I hear him in the kitchen putting the dishes away in the dishwasher . I started the diwasher and he puts the stuff away as I can not yet lift or bend over. Think of it. How many times a day do you bend over? I now go to my knees pick up something and then pull up.Today I tried and was successful at standing up without assistance. Progress!
9am

Breakfast in bed.
10am
Walked 180 steps to the end of hall to laundry room where their is a restroom. Walked back. Head clear. Walked great. Time to make sure Bernie took his heart meds.
10:00-1:00 pm
Worked on an office project I have been working on for 2 yrs
1pm
Louis came to ask me for help with his new kindle fire.
Debbie and Walter  Guarde came to visit and we all went out to eat at Yum Yum. Bernie's favorite place.
5:45
Talked to Joy Cobb. Last year this time, Joy and I were training for Richmond half marathon in November. Did not sign up this year. We will be in Florida anyway Nov 12 .
Headache now. Tylenol. Laying down watching golf.
My sense of taste for tap water has changed. Taste is stale. My sense of smell is sharper. Smells musty in lobby of condo. I am going to replace all cleaning chemicals with natural products.
6-9pm
Golf over. watching Property Brothers on HGTV channel .
9pm
 
Sleep.

Friday, August 31, 2012

August 28-7 Days After Surgery

Emotional Recovery is as important as physical recovery. Reasons for Jocelyn's good emotional
recovery: 1) Being told initially she had a benign brain tumor by Dr. Mike Armstrong, 2) Having
Bernie's Daughter in Richmond,VA and Googling her diagnoses, 3)Listening to the diagnosis over from Jocelyn's IPhone and hearing from the doctor tumor is BENIGN, 4)Having a Godlike
Surgeon, Dr. Sahni, and a friend, Janet Goode, who knew Dr. Sahni well and use to work for
him for 7 years as a RN, 5)Friends, Best Friends, praying, supporting and knowing they really
care for me and feel the pain I am going through emotionally.

Monday, August 27, 2012

Jocelyn's Brain Tumor Prognosis Information

Meningiomas make up about 20 percent of all brain tumors. A meningioma is a type of tumor that develops in the meninges, the protective membranes that cover the brain and the spinal cord. Most meningiomas are non-aggressive, or benign, although up to 5 percent are aggressive, or malignant. Benign meningiomas are slow-growing and do not invade surrounding tissue or spread to other parts of the body, but they often require surgery, because they compress adjacent brain tissue as they grow.


Prognosis
Meningiomas fortunately carry an excellent prognosis--complete recovery usually occurs within a few months.

Initial symptoms

indicating the growth of a frontal lobe brain tumor can be difficult to notice. However, over time noticeable symptoms such as seizures and frequent urination will begin to develop. It is important to stay vigilant if someone you know displays these outward symptoms or others, such as personality change and mood swings, as they may not be readily acknowledged by the person

Discharged, 3:55PM

Jocelyn is on her way home. She was discharged from the hospital at 3:55PM today.

Sunday, August 26, 2012

Bernie with his Sweetie, Sunday Night Post

Television remote in his hand, his Sweetie by his side and he gets to sleep in a
recliner all night. He's happy. Hopefully, last night at the hospital.

Hospital Stay, Day 7, Sunday Evening

Jocelyn woke up at 4AM to have blood work done since she is on steroids, anti-seizure, analgesics, saline, docusate sodium, etc. Celeste left this AM because she has to work in Indiana for the next two days. Bernie arrived at 7AM to relieve Celeste. Jocelyn decided to visit Carrington who is in this hospital. He is on 5th floor. She had on regular sweatpants and was excited about this. However, after the visit and seeing Carrington's scar due to his knee replacement, Jocelyn felt woozie. Bernie and Jocelyn went back to her room, about 3 rooms from her room, Jocelyn's felt like she was falling. Many nurses came to the rescue. Her blood pressure was so low it didn't register and her sugar was high due to Dexamethasone(steroid) use. They put her back to bed and she started feeling better a few hours later. The prune juice and stool softener worked for the first time since surgery. Jocelyn walked again this afternoon and did good. She had a good dinner while Bernie was eating Subway at the hospital. Jocelyn should get her first bath in her own room later tonight. The basics of life are the things she is yearning now. Since I am blogging, Bernie said he felt left out so I'll add that he just tinkled. Bernie added that he tinkled and tinkled. He is watching 60 minutes now and he is sporting a fancy fashionista sweater. Tomorrow we aren't sure about now because she has to be released by her neurosurgeon, then physical therapy needs to see if she can walk 30 steps. Can you imagine Jocelyn wondering if she can safely walk 30 steps? So, we are waiting to see how tomorrow goes. Bernie is staying the night in a recliner next to Jocelyn's bed. We hope she will be released, but we will update you, as soon as we know.

Saturday, August 25, 2012

Hospital Stay, Out Of ICU, PM Post

Good news. Jocelyn was moved out of the ICU today. The hospital was full all week, so they kept her in the ICU. Celeste was told today, Jocelyn will be going home Monday. She is in a regular hospital room now. Jocelyn is doing good. She continues to go to bed at 8:30PM and she is sleeping through the night. Good night everyone! (Oh, Celeste continues to spend the night with her Mom. Jocelyn is being taken good care of by Celeste and Bernie.)

Hospital Stay, PM Picture, August 23, 2012


This picture was taken post surgery. Jocelyn said it was okay to post. Picture was
taken at 9:00 PM or so. I stopped in to see if  I could help and update the blog, as
I was instructed to do by Jocelyn during this process. I think she looks great. Her
hair is growing in nice and thick. She'll be looking like herself shortly.

Thursday, August 23, 2012

Hospital Stay, Day 4

I have new information that is more accurate. Jocelyn's tumor was the size of an orange, not an egg. She walked again today. Some flowers were sent to the hospital, but the ICU doesn't allow because of infection control. Celeste took the flowers home to keep them until Jocelyn moves out of the ICU. In the way of news, Jocelyn has been very tired. This is something they are watching; however, she didn't move out of ICU today because of availability of regular hospital rooms. Celeste is sleeping in Jocelyn's room each night to watch over her special Mom. They are sharing moments which will be remembered for a lifetime. Bernie has been taking the day shift with Jocelyn. Jocelyn told me Bernie was anxiety ridden during her surgery. A physician who was visiting his family member spoke with Bernie on Tuesday in the cafeteria. Later in the day, Jocelyn remembers an unfamiliar physician stopping by to check on Bernie because he was so worried about his wife!

Wednesday, August 22, 2012

Day 3, Hospital Stay, PM Post-August 22, 2012

It's 10:30 PM and I just spoke to Jocelyn's RN,Amy, for an update. Jocelyn is still very sleepy. Jocelyn is off IV fluids now. She is on oral Meds. She walked around hospital hall twice today. Nothing more to report. She still has her head wrapped and a drainage tube, but not much fluid coming off. With this information, the tube will be removed tomorrow. I understand Bernie has been at the hospital most of the time. He and Celeste have been excellent supporters during this stressful time in Jocelyn's life. I know Jocelyn loves everyone who cares about her and she appreciates everyone following her progress during this journey.

Wednesday, Day 3 Hospital Stay-August 22, 2012

Celeste asked me to add the following comments: Jocelyn is doing well. She is happy and thankful to have the surgery over. The doctor came in and checked on her and said she will need to get up after lunch and walk around a little bit to avoid blood clots. Doctor said she is doing well and that the tumor has probably been there at least for 10 years. Jocelyn was finally able to eat and she ate her favorite thing, frozen yogurt from Sweet Frog. Celeste went and made a special trip to the yogurt shop for HER SPECIAL MOM. (I am adding these comments at 12:30 PM and I plan on updating this blog as I get more definitive data. I am Jocelyn's blogging trainee, Terry. Thank you for your patience with this blog process.)

Tuesday, August 21, 2012

Hospital, Day 2, PM Post

I called the hospital a few times during the afternoon and they said Jocelyn was still in surgery. Finally, at 8:30 PM, I reached Bernie at the hospital to get an update. They were just bringing Jocelyn back from recovery room. She now rests in the Neuro ICU. Bernie stated that she was in pain. Instructions from Bernie-NO VISITORS UNTIL SHE GETS HOME. What I know: tumor had been there a long time. Tumor was calcified and the tenicals were deeply embedded in the scalp. In order to get all the tenicals, the neurosurgeon spent 4 hours using laser. Then he needed to reconstruct scraped area for cosmetic reasons. The tumor was high between the scalp and forehead. Any indentations would show on her forehead; thus, detail to surgery matters. Surgery was said to be a success. Celeste is staying in the room with Jocelyn at the hospital tonight, at this point. As I get updated, I will post the details. Jocelyn should be in ICU for 48 hours. Then, she could be in a hospital room additional 4 days. This could change based on physician orders.

Monday, August 20, 2012

Hospital Stay, Day 1, PM Post

Jocelyn & Bernie left home at 7 AM. Karen, their neighbor, took them to Johnston Willis Hospital. Bernie promised Jocelyn he would not drive to the hospital which is 10 miles away on curved  roads. At the hospital, prep began. Radiology was the first stop. Prep for OR began for cerebral angiogram. In OR, table was very cold. Room was like a meat locker because of infectious disease control (aka-mersa.) Next stop, lines were placed in neck and Jocelyn was slightly sedated. She cried inside until she remembered what Bernie had told her..."you must be brave." Two hours later, surgery over. Surgeon gave very positive results. Doctor said embolization not necessary due to calcification of tumor. Meaning tumor had been there awhile and blood supply to tumor was very minimum. So, this is very good. Next stop, Neuro ICU unit. The next 6 hours...NO movement. Finally, food was given, but Jocelyn refused because of the meat diet offered. But, at dinner, vegetarian meal was brought. Yeah! Next...nurse practitioner came into room to put GPS tags on skull. Jocelyn's head was shaved. She looks simply marvelous with her fashionista style going on. The GPS tags/probes help guide the surgeon on surgical boundaries for Tuesday 8 AM surgery.

Sunday, August 19, 2012

START READING Monday August 20 THEN Sat, May, 5 thru Wed, Aug. 15, 2012


May 5, 2012
My husband Bernie and I were at our condo in Vero Beach, Florida and had just returned home from a Republican Women’s Kentucky Derby fundraiser party.  Within the last two years, I had noticed a reoccurring rash on my ring finger that frequently made me take my engagement ring off.  After the party, I was certain I took my ring off and placed it on the dresser.  Little did I know it wouldn’t be there the next time I went to put it on.  Lost in my vacation activities, I am still unsure how many days later I went to look for my ring, but I do know that when I did; it wasn’t there.  While my husband was taking a nap, I frantically looked for it.  It wasn’t on the dresser, behind the dresser, under the dresser, the bed; it was gone and I had no idea how or when I was going to explain this one to my husband.

So that is the story of my ring.  The real story and purpose of this blog.  My lost ring was never found but is the reason I found I had a benign brain tumor.   

June 6, 2012
At some point, I had to tell Bernie.  I was afraid to because he always told me not to take it off because I would lose it.  The good thing is the ring was insured, but I did not tell him for two weeks after I had torn the condo in Vero Beach apart.  He kept asking me where was the engagement ring and why was I not wearing it.  He wanted to take it to a jewelry store where we had taken the ring before and have them put another anti nickel metal protection plate on the inside of the ring.  Finally, at dinner one night after I had given him 2 Bourbons and a large glass of wine for dinner I broke the news.  Of course, I heard," I told you so".  But, he did not get mad at me because I was so upset and he hates to see me cry.
He knew that it was insured and told me that we would look for another one when we got back home to Richmond.  I was so glad I had told him and that weight could be lifted off my shoulders and heart.  Phew.

Wednesday, July 11, 2012
We met with a State Farm agent to file a claim on the engagement ring.  Our personal property agent Myra Howard looked at my finger and said I could see why you took off the ring.

Wednesday, July 11, 2012
Bernie and I met with Adolph, Bernie’s longtime friend and owner of a well-known jewelry store, Adolph’s Jewelers.  They made my original ring.  After explaining the irritation I continued to have and the whole reason I took it off, Adolph said, “What are you allergic too”?  Well, I did not know. So, I made an appointment with Dr. Mike Armstrong an Ear, Nose, Throat and Allergy doctor in Richmond, VA.




Friday, July 13, 2012
I chose Dr. Mike Armstrong because I’ve known him personally for10 years.  I coached him in an Adult Masters Swim Program at the Tuckahoe YMCA. My appointment with Mike was 2-fold.  After a Rhinoplasty I had in 1975, I have had a problem with drainage from my left nasal passage and blockage.  It has been annoying me for many years, but because I needed to find out what my metal allergy was, I figured I could finally ask someone about what I could do to fix this nasal problem. 

Monday, July 16, 2012
My appointment with Mike came up with two diagnoses. One, I had noticeable blockage in my left nasal passage caused by scar tissue from the rhinoplasty 35 years ago. Two, Mike was going to send me for a C- Scan to see how bad the blockage was. Then, I was to meet back with him the following week to determine if I needed surgery to remove the blockage.  As far as the allergy and the main reason for my doctor’s visit, he was not sure if I was allergic to a particular metal but suggested I choose a platinum or 18-carat gold ring to prevent future painful rashes on my ring finger.

Monday, July 23, 2012
I scheduled my Cranial CT scan at Henrico Doctors Hospital.  Bernie and I went to the appointment together.    I found the staff in this hospital left me with a calm feeling. It helped because I was really nervous. What is a Cranial CT scan anyway?  Prior to going in for my appointment, I researched it and this is one of the answers I found... 
(CAT) scan, is an X-ray procedure that combines many X-ray images with the aid of a computer to generate cross-sectional views of a certain area.  Computerized tomography is more commonly known by its abbreviated names, CT scan or CAT scan. A CT scan is used to define normal and abnormal structures in the body.  For me it was a Cranial Ct scan to find the extent of the scar tissue blockage in my left nasal cavity.

I was asked to lie on a narrow table that slid into the center of the CT scanner.
Once inside the scanner, the machine's x-ray beam rotated around me.  The modern "spiral" scanner performed the exam without stopping. I was told that a computer creates separate images of the brain area, called slices. These images can be stored, viewed on a monitor, or printed on film. I was asked to be really still during the exam, because movement can cause blurred images. I was also asked to hold my breath for short periods of time. The good thing was the completed scans took only a few minutes and it was basically painless except for the cold table. I asked for a heated blanket but the guy doing the scan just laughed. I wasn’t kidding, but I didn’t ask again.  The bad part was I read in the Consumer Reports magazine that the radiation from CT scans- are equivalent to 100 to 500 chest X-rays-which might contribute to an estimated 29,000 future cancers a year, a 2009 study suggests. Oh, great!  Now I can worry about cancer.  Before leaving, Bernie wanted to know how much the C-scan cost. You have to know Bernie.
After we were completely done with the treatment, I was given a DVD of the results and was told to take the DVD back to my appointment with Dr. Armstrong the following Monday.

Friday, July 27, 2012
I received a call from Dr. Armstrong’s Assistant. I wondered why his office was calling me.  I had a follow up appointment on Monday, today was Friday.  I did not know Dr. Armstrong’s office had already received an email of my C-scan results. It was late in the afternoon and Bernie’s daughter, Jane was in town so I decided not to call them back.  It could wait, I thought.

Monday, July 30, 2012
Today was my follow up appointment with Dr. Armstrong.
Dr. Armstrong told me the C-scan found a meningiomas Benign Brian Tumor of the frontal lobe.  He went on to say that I needed a MRI and also needed a neurosurgeon.  I only came if for a blocked nasal cavity and was shocked to here such a foreign diagnosis.   I asked him to repeat the information and I videoed it on my iphone.  Not knowing any neurosurgeons’ I asked him, “If your Mother needed brain surgery whom would you have operate on her?”  Right away he answered, Dr. K. Singh Sahni at the Neuro Center at Johnston Willis Hospital in Richmond, VA.  I asked why and he said that his mom actually did have surgery by him.  Maybe this is more common than I realized.  With the help of his staff, I scheduled an MRI and was told that someone in Dr. Sahni’s office would call me to set up an appointment with him.  This was all happening so fast. 

Wednesday, August 1, 2012
Today was my MRI.  The technician asked me repeatedly if I was claustrophobic.  Over and over, I answered no. Okay, so maybe I was wrong.  I was told to remove my watch and all other jewelry and place it in a locker. No thank you. I would give the jewelry to my husband.  Bernie was there with me waiting in a 10x10 box of a waiting room. The only pleasant thing about the small waiting room was a large ivy plant flowing over onto the floor.  God bless the Kindle so Bernie could read his books while he waited.  I gave the jewelry to him.  Next time, I will not take any jewelry. 
The next thing I knew the technicians were putting a space like helmet over my head with bars in front that cradled my cranium.  I could barely breathe or see.  I was guided into a dark, tunnel-like tube, a kind of medical solitary confinement where I spend the next 30 to 40 minutes.  My ears were stuffed with plugs, covered by sound-cancelling headphones.  Good thing since there were on and off LOUD sounds for over 40 minutes.  Was this really happening all because I took my engagement ring off and it disappeared?



Friday, August 3, 2012
I was now at my first appointment with Dr. Sahni.  I met with his assistant and filled out a medical history form that took me thirty minutes to complete.  It seemed like they wanted to know everything about me that had ever happened.  Bernie was not with me because he had another doctor appointment for himself.  Geez, don’t we sound exciting!  I was lucky that Dr. Sahni office had called me and said they had a cancelation and I could come in earlier than my original appointment.  I was worried and the sooner that I could have an idea of what I was about to go through, the better.
Dr. Sahni showed me the MRI.  And, he explained it was a Meninoga Benign Brain Tumor on the left frontal lobe and the size of an egg. He explained the tumor was benign, but it was large enough that it needed to be surgically removed. If it was smaller he could zap it with a gamma knife laser, but of course, I had to have a large one. 
He asked if I had headaches, and I said no.  I did in the past, but not now.  He knew I exercised everyday from the paper work I had filled out and said adrenalin helps the frontal lobe function and that is probably why working out helps me feel better.  
Always thinking I had ADD I read that People with ADD or ADHD often have depressed moods and anxiety. They have those feelings because their frontal lobe, their CEO, can't manage the busy activity of the mid brain.   Could it be possible I do not have ADD and it was the tumor pressing on my frontal lobe and making me think I had ADD?  Dr. Sahni said it was highly possible!

Here is an overview from my understanding thus far about a meningioma:
A meningioma is a type of tumor that grows from the protective membranes, called meninges, which surround the brain and spinal cord. Most meningiomas are benign (not cancerous) and slow growing; the reason they think mine is benign is because of the calcified mineral deposits C-scan found.
Symptoms are typically gradual because these are slow growing tumors and mostly affect women between the ages of 40 to 60.  Meningiomas tend to grow inward and due to the size of mine, the tumor had to be removed s that it could relieve the compression it was placing on my brain.



What were my symptoms?
Frontal lobe tumors can cause behavioral and emotional changes.  Over the last few years I have had memory loss issues, speech problems (difficulty finding the right word), and vision problems.  I had surgery for acute angle closure two years ago.  This is the stage right before glaucoma.  And, if the tumor was not found early enough I could have had seizures.  I could not be more thankful for having a metal allergy and losing my ring!


Wednesday, August 8, 2012
Dr. Sahni ordered for me to have a Cerebral Angiogram a day before my brain surgery.  So, Bernie and I met with Dr. Spinos who would perform this surgery.

Thursday, August 9, 2012
I was back for my second visit with Dr. Sahni.  He met with Bernie and my friend Janet Goode who is a nurse. I found out later she worked for Dr. Sahni for 7 years at Johnston Willis Hospital in the neuro ICU.  Small world.   Bernie agreed that if Janet liked him and thought so highly of him, he was the doctor for me.  He also said that I would be the only patient he would have for the entire day of surgery.  A good thing to know.



Tuesday, August 14, 2012
Dr. Sahni sent me to Dr. Ed Peck at Neurophyschological Services of Virginia for  pre-neurophyschological testing.  This would demonstrate my cognitive abilities pre and post-surgery.


Wednesday, August 15, 2012
I went back to the testing center for 3 hours of cognitive testing.  I got every question wrong on one memory test.  Apparently, my short  term memory is non-existent.  I can’t wait to re-take it after the tumor has been removed.  Maybe I really am a genius!  Well, even if I am not, at least I know why I have had these memory and cognitive issues for all of these years. 

Wednesday, August 15, 2012
I left the testing center and drove to pick up Bernie.  We went for my pre-op at the Johnston Willis Hospital Surgery center.

Sunday, August 19, 2012


What began as a nervous talk to tell my husband about losing my engagement ring turned into an unplanned four weeks outcome that would make me understand the importance of family, fate, and being truly thankful for being one of the 20% of those who can be told they have a benign brain tumor one that will most likely not take my life. This blog below tells my story of finding, learning more about,  (and later about) living through, and the processes it takes to move beyond a benign brain tumor. 

Monday, August 20, 2012


Monday, August 20, 2012
I am admitted to the hospital tomorrow  for a Cerebral Angiogram.  I will stay in the ICU over night at Johnston Willis Hospital.
  
Cerebral Angiogram

Introduction:
Cerebral angiograms provide a roadmap of the blood vessels of the brain.  Physicians use this blood vessel roadmap to determine how a particular patient’s brain is supplied with blood and how to best proceed with the course of treatment.

Procedure:
Cerebral Angiogram– The procedure for a cerebral   angiogram requires that a small tubed catheter, similar to a long piece of spaghetti, be placed in an artery in the groin area. Prior to catheter placement, patients can be given local anesthesia with sedation medication to keep them comfortable. After anesthesia has been taken care of and the catheter is inside the artery; the catheter is navigated under image guidance up to the vessels of the head and neck. Once the catheter has been stabilized then contrast dye is allowed to flow through the catheter for a short period. While the dye is moving through the blood vessels a special x-ray camera or   fluoroscope takes pictures of the blood vessels.

What is Embolization?
Tumor embolization is a procedure that can be performed prior to a planned   surgical resection. Embolization shuts down the blood supply to a tumor reducing   blood loss during surgical resection. A secondary benefit from embolization can be that tumor margins are more easily identified and a tumor can be removed more completely and with less effort.  Meningioma Tumors (what I have) are   embolized and have relatively large blood vessels supplying the tumor.
Procedures frequently take 2 to 3 hours and the time necessary is often not predictable before the procedure begins.
After the procedure, I will need to remain still and avoid bending the hip where the puncture occurred for at least 6-8 hours. This means lying flat and is often the portion of the entire experience that is most uncomfortable. This period of rest is very important because it allows the small puncture hole in the artery to heal.
I will remain in the hospital overnight following the     embolization procedure, until the tumor is surgically removed tomorrow.
I will spend the night in the neurological intensive care unit for close monitoring. 

Tuesday, August 21, 2012_Benign Brain Tumor Surgery


I woke up very early by the night nurse preparing for surgery.
At 7:30am, pre-op began. The nurse assigned Jocelyn a place
between two other day patient surgeries. Celeste was out of town in Chicago on business and Bernie was arriving at hospital later
in day due to length of events on this day. Rhonda, Jocelyn's RN,
took vitals, history again and asked if Jocelyn had family outside
and if she'd like to see them. Jocelyn said no. Hair already shaved, so Jocelyn was ready. Nurse said "your daughter is on the phone."
It was early for Celeste since Celeste was in Chicago. This is one of the conveniences of the cell phone age.

Celeste and Jocelyn prayed over the phone. Celeste was scared for her Mom and scared for herself. Celeste was working and flying
on Tuesday and said she would be there at 8:30pm. Dr. Sihni was
cool and it was just another day at the 'office.' The doctor's bedside
manor was unusually good. The nurse thought Jocelyn had a really
good attitude for a person with a brain tumor and a patient facing
surgery. The doctor came in and introduced everyone and one of the assistant asked about taking phone numbers of family members. Jocelyn said "great" and gave out a few numbers.